[0001] 1.
Field of the Invention This invention relates to a circuit sensitive to the output energy of an electrosurgical
unit which output energy must varies as a function of load, and more particularly,
to the parameters which measure generator output and their regulation by converting
signals thereof from analog form to digital form for evaluation by a processor with
enhancement therein and thereafter controlled by a feedback loop to the generator.
[0002] 2.
Background of the Disclosure An electrosurgical unit includes a radio frequency generator and its controls, which
can be used for cutting or coagulating with high frequency electrical energy such
as pulses shaped to enhance cutting or coagulation. Using an electrosurgical generator
in a surgical procedure, it is possible for the surgeon to cut, to blend or cut with
hemostasis, or to purely coagulate. The surgeon can easily select and change the different
modes of operation as the surgical procedure progresses. In each mode of operation,
it is important to regulate the electrical power delivered to the patient to achieve
the desired surgical effect. Applying more power than necessary results in tissue
destruction and prolongs healing. Applying less than the desired amount of electrical
power inhibits the surgical procedure. It is desirable to control the output energy
from the electrosurgical generator for the type of tissue being treated. Different
types of tissues will be encountered as the surgical procedure progresses and each
unique tissue requires more or less power as a function of frequently changing tissue
impedance. Even the same tissue will present a different load as the tissue is desiccated
and the position and size of the electrosurgical tool will effect the load. That is,
the deeper the tool is moved into the tissue or the further the tool is pulled from
the tissue will change the impedance or load. Accordingly, all successful types of
electrosurgical generators use some form of automatic power regulation to control
the electrosurgical effects desired by the surgeon.
[0003] Two conventional types of power regulation are in commercial electrosurgical generators.
The most common type controls the DC power supply of the generator by limiting the
amount of power provided from the AC mains to which the generator is connected. A
feedback control loop compares the output voltage supplied by the power supply to
a desired setting to achieve regulation. Another type of power regulation in commercial
electrosurgical generators controls the gain of the high-frequency or radio frequency
amplifier. An analogue feedback control loop compares the output power supplied from
the RF amplifier for adjustment to a desired power level. The output is adjusted accordingly
but generators commonly and currently in use do not digitally measure RF output power
delivered to the load and thereafter regulate accordingly. Usually, the generators
are run open loop, i.e. without feedback but if controlled, then only to a constant
radio frequency output voltage.
[0004] Specifically, U.S. Patents 3,964,487; 3,980,085; 4,188,927 and 4,092,986 have circuitry
to reduce the output current in accordance with increasing load impedance. In those
patents constant voltage output is maintained and the current is decreased with increasing
load impedance. Similarly, U.S. Patent 4,126,137 controls the power amplifier of the
electrosurgical unit in accord with a non linear compensation circuit applied to a
feedback signal derived from a comparison of the power level reference signal and
the mathematical product of two signals including sensed current and voltage in the
unit.
[0005] Known types of radio frequency power regulation have achieved moderate success but
certain undesirable characteristics are associated with each. One undesirable characteristic
involves the response time for regulation. The impedance of the different tissues
encountered during the surgical procedure can fluctuate substantially. In moving from
a high impedance tissue to a low impedance tissue, the low impedance tissue may be
needless destroyed or damaged before the electrosurgical generator can reduce its
output power to a level compatible with the lower impedance of the tissue. Similarly,
when a high impedance tissue is encountered, the output power from the generator may
be momentarily inadequate to create or continue the precise surgical effect desired
by the surgeon. Wherefore, execution of the surgical procedure becomes difficult or
impossible. Recognizing this problem is U.S. Patent 4,658,819 wherein the power delivered
to the load is a function of the voltage from a DC supply and the load as measured
by sensors of load voltage and current. A microprocessor controller digitizes the
sensing signals and computes the load impedance and actual power being delivered to
the load. The microprocessor controller accordingly repeats the measurement, calculation
and correction process approximately every 20 milliseconds as long as the generator
is operating.
[0006] Another problem of radio frequency output power regulation in previous electrosurgical
generators results because they have been designed to attain maximum power transfer
at intermediate impedance ranges. As with amplifiers, an electrosurgical generator
will achieve maximum power transfer when its internal impedance equals the output
load impedance to which it is connected. At high impedances, the power delivered typically
rolls off because of the difference between load impedance compared and the internal
impedance. To compensate, surgeons increase the initial power setting to a level higher
than necessary. Once the incision passes through the high impedance tissue, the output
power setting remains too great and tissue destruction or undesirable surgical effects
result. For example, the initial incision passes through skin with a relatively large
percentage of dead cells, which contain considerably less moisture than other cells
in tissues beneath the skin; that is, the epidermis has increased impedance compared
to the impedance of the tissues therebelow. A higher power setting is required for
the initial incision and thereafter a reduced amount of power will work. With commercially
available electrosurgical generators, the initial incision is often deeper than desired
because the active electrode, i.e., the electrosurgical instrument, cuts deeper than
the surgeon desires due to the excessive energy delivery. The surgeon desires to control
the depth of the incision and conduct the surgical procedure in controlled depth levels.
If the power regulation is greater than needed, a deeper incision in certain areas
results in undesired bleeding. For that reason most surgeons prefer to make the initial
incision using a conventional scalpel, instead of using the active electrode blade
of an electrosurgical generator.
[0007] Another radio frequency output power regulation related problem of available electrosurgical
generators is open circuit flashing just prior to the start of the surgery. Prior
to the electrosurgical procedure commencement, no output power is supplied due to
the open circuit condition. The regulation circuit attempts to compensate with maximum
power delivery. When the active electrode is positioned an operative distance from
the tissue, an arc of relatively high voltage ensues due to the maximum power delivery
capability initiated by the power regulation circuit. Continual arcing is desired
in the coagulation (fulguration) mode of operation but is otherwise undesirable. The
power regulation circuit eventually reduces the excessive power but the initial arcing
or flash may already have caused excessive tissue destruction. The flash and excessive
tissue destruction can occur anytime the surgeon moves the active electrode toward
the tissue.
[0008] Open circuit or excessively high output impedance conditions increase the risks of
alternate path burns to the patient. Alternate path burns occur when current flowing
from the patient to some surrounding grounded conductive object, such as the surgical
table, rather than returning to the electrosurgical generator through the patient
return electrode. Reducing the output voltage under open circuit or high impedance
conditions reduces the magnitude of and potential for radio frequency leakage currents.
[0009] Another radio frequency output power regulation related problem of commercial electrosurgical
generators relates to shorting the output terminals of the generator. A frequent though
not recommended, technique of quickly determining whether an electrosurgical generator
is operating is to simply short the two output electrodes and observe an electrical
spark. A possible result of shorting is the destruction of the power supply in the
generator. The generator quickly attempts to regulate from a high power open circuit
condition to a short circuit low impedance condition. Due to the limitations on regulating
speed, the electrical power components of the power supply are overdriven and quickly
destroyed before adequate compensation can occur.
[0010] U.S Patent 4,727,874 discloses an electrosurgical generator with a high frequency
pulse width modulated feedback power control wherein each cycle of the generator is
regulated in power content by modulating the width of the driving energy pulses. Instantaneous
analysis of parts of the high frequency signals of the effects of impedance loads
on the electrosurgical unit in real time is not possible. It is desirable to be able
to examine a series of RF pulses and control the output with respect to the real time
effect on tissue. Instantaneous corrections to the output are not possible; only changes
over the average of the output pulses are feasible, see for example U.S. Patent 4,372,315.
That patent discloses a circuit which measures impedances after delivering a set number
of radio frequency pulses on a pulse burst by pulse burst basis. U.S. Patent 4,321,926
has a feedback system to control dosage but the impedance sensing is not on a real
time basis.
[0011] Electrosurgical medical procedures require controllable and close regulation of the
cutting and/or coagulating high frequency energy. The energy application must be limited
to a desired surgical area in order that no damage be sustained by important structures
or organs in the immediate vicinity of the cutting or coagulation. Whether cutting
or coagulating, the tissue is supplied with monopolar electrosurgical energy. The
tissue acts as a load which in electrical terms is considered as a variable impedance
that is a function of the nature of the tissue being surgically treated. The load
impedance has resistive, capacitive and inductive components and the energy pathways
from the electrosurgical unit to the tissue similarly add resistive, capacitive and
inductive components.
[0012] It would be preferred to instantaneously measure the variations of resistance, inductance
and capacitance and correct the output of the electrosurgical unit accordingly. This,
however, is impossible to do but output parameters such as voltage, current and power
of the electrosurgical unit may be measured and/or calculated. Similarly, selected
operational parameters such as constant current, constant voltage, and constant power
can be regulated but not on an instantaneous level since the frequency of the pulses
is typically 500 kilohertz. Circuits commonly in use for controlling the output of
an electrosurgical unit are incapable of the response times necessary.
[0013] Analog measurement of output signals from instruments such as the electrosurgical
unit are well known and in use because the physical world is primarily analog and
the processing of analog signals in electronic circuits is well known and accomplished
easily. For example, amplification, filtering, frequency modulation, and the like
are common electronic functions of circuit designed to handle analog signals. Such
signals tend to be continuous and therefore detectors of analog signals have difficulty
in recognizing discontinuities in the signal brought about by change.
[0014] Digital or discreet signals are those that change from one condition to another distinct
condition. For example, an "on" or an "off" condition is easily measured since there
is no continuity in the change from "on" to "off". The advantage in having to deal
with only two conditions, i.e. the existence of either one or the other, limits measurement
and has a definite benefit since no subjective interpretation need be applied. Numerous
gains are available with digitized signal including less sensitivity to change, predetermined
level of accuracy, better dynamic range, applicability to non-linear control, predictability
and repeatability, insensitivity to environmental variations, replicatability, flexibility,
multiplex ability and economy.
[0015] Electrosurgical units put out analog signals as their output. Processors or computers
are arranged to consider digital signals and although analog to digital signals conversion
is necessary, the manner in which the conversion is made bears strongly on the accuracy
and ability, i.e. response time, of the circuit used.
[0016] Described herein are an electrosurgical unit control responsive to load and its method
of use neither found in the literature nor practiced in the field. The literature
is of interest for its teachings of the knowledge of skilled artisans at the time
of this invention.
SUMMARY OF THE INVENTION
[0017] Disclosed and claimed are the electrosurgical unit control responsive to load. A
circuit for monitoring operating parameters of an electrosurgical unit and for controlling
those parameters relative to a load placed upon the radio frequency energy supplied
by the electrosurgical unit preferably has a sensing circuit connected to the output
of the electrosurgical unit and responsive to loads applied thereacross for collecting
parameters indicative of the operation of the electrosurgical unit under load.
[0018] A signal modifier connected to the sensing circuit most preferably enhances parameters
of the signals collected and thereafter transmits the signals to a buffer that may
be located therein. An analog to digital converter, for receiving signals from the
buffer, converts the analogue form of the signals into digital form. A data memory
stores the signals in digitized form, and a processor connected thereto receives the
stored signals. The processor is most preferably capable of processing the signals
while continually monitoring and controlling the electrosurgical unit by measurement
of the voltage, current, and/or power for the instantaneous calculation of energy
output, load impedance, leakage current, spectral content and/or crest factor of the
wave pulse train of the radio frequency energy. Other parameters may also be measured
and/or calculated as desired.
[0019] The analog to digital converter is preferably of the flash type. A RF drive clock
may be connected to a digital drive for the radio frequency stage of the electrosurgical
unit. A feedback loop is in the preferred embodiment connected to the electrosurgical
unit so a high voltage power supply therein may be manipulated. The feedback loop
may alternatively be connected to the electrosurgical unit so the radio frequency
drive pulses of a main control circuit of the electrosurgical unit may be regulated.
The feedback loop may in an alternate arrangement be connected to the electrosurgical
unit so a high voltage power supply therein may be manipulated and so the radio frequency
drive pulses of a main control circuit of the electrosurgical unit may be regulated.
[0020] The output performance parameters including the constant current, constant voltage
or power may be calculated as a root mean square value, monitored and/or regulated
through an input of the processor. The output parameters of the electrosurgical unit
may be calculated for controlling performance parameters including root mean square
or peak to peak voltage, root mean square or peak to peak current, and root mean square
leakage current for consideration of each as the control signal for the feedback loop
of the electrosurgical unit.
[0021] In the preferred embodiment of a feedback control for an electrosurgical unit, the
signals therefrom are enhanced by the processor. Sixteen MHz sampling can be accomplished
with or without phase shifting the location on each pulse whereat the data is measured.
Phase shifting simply permits sufficient simulation of 16 MHz sampling with less costly
components. The signals obtained are split into two sets of 256 each by recording
at 8 megahertz. A sample clock produces a square wave pulse train for timing data
acquisition first at the rising edge and then at the falling edge of each square wave
pulse of the sample clock in adjacent cycles of a particular wave pulse train of interest.
For each 16 pulses of the electrosurgical unit radio frequency drive, the processor
samples the output of the electrosurgical unit 16 times thereby generating 256 data
points for the rising edge and an additional 256 data points for the falling edge
of each square wave timing pulse of the sample clock.
[0022] Thus the signal resolution may be enhanced by the processor and the phase shifting
sample clock that permit data acquisition at a frequency greater than the processor
could without the phase shifting sample clock. The output of the electrosurgical unit
can thereby be monitored and controlled over a broad spectral input to the electrosurgical
unit rapidly enough to correct output in accordance with measured load.
[0023] A method for monitoring operating parameters of an electrosurgical unit and for controlling
those parameters relative to a load placed upon the radio frequency energy supplied
by the electrosurgical unit preferably includes collecting parameters indicative of
the operation of the electrosurgical unit under load with a sensing circuit connected
to the output of the electrosurgical unit and responsive to loads applied thereacross.
The step of enhancing parameters of the signals collected with a signal modifier connected
to the sensing circuit follows. Transmitting the enhanced signals to a buffer and
converting the analogue form of the signals into digital form, with an analog to digital
converter connected for receiving signals from the buffer, are preferably the next
two steps. The added step of storing the signals in digitized form in a data memory
is preferred. Receiving the stored signals from the data memory in a processor is
a further step. The step of processing the signals while continually monitoring and
controlling the electrosurgical unit, by measurement of the voltage, current, power,
load impedance, leakage current, spectral content and/or crest factor of the wave
pulse train of the radio frequency energy with the processor, completes the preferred
method.
BRIEF DESCRIPTION OF THE DRAWINGS
[0024]
Figure 1 is a schematic block diagram of the circuit for monitoring operating parameters
of an electrosurgical unit and for controlling those parameters relative to a load
placed upon the radio frequency energy supplied by the electrosurgical unit;
Figure 2 is a schematic block diagram of the circuit for the processor bus and radio
frequency drive of an electrosurgical unit.
Figure 3 is a plot of the power (y axis) verses load impedance (x axis).
DETAILED DESCRIPTION OF THE INVENTION
[0025] A circuit for monitoring operating parameters of an electrosurgical unit 10 and for
controlling those parameters relative to a load placed upon the radio frequency energy
supplied by the electrosurgical unit 10 and method of use thereof are disclosed and
claimed. The claims are not limited to the structure for article described and illustrated
by way of example and the methods its use specifically explained. The claims are to
be considered in view of the existing knowledge of skilled artisans in the Field prior
to the inventions defined by the language of the claims herein as amended or considered
in view of knowledge of skilled artisans prior to these inventions.
[0026] In Figure 1, a schematic drawing in block form, has the circuit for monitoring operating
parameters of the electrosurgical unit 10. Digital signal processing for instantaneously
controlling those parameters relative to a load placed upon the radio frequency energy
supplied by the electrosurgical unit 10 is in the schematic block diagram, Figure
2.
[0027] A sensing circuit 11 is capable of collecting parameters indicative of the operation
of the electrosurgical unit 10 when under load. The load being the impedance to energy
applied to cut or coagulate tissue; that impedance varies and is composed of inductive,
capacitive and resistive components which constitute the varying impedance load carried
by the electrosurgical unit 10. The cables or wires from the electrosurgical unit
10 output to any instrument used for cutting or coagulating tissue or a blend mode
thereof add an impedance component to the system and is therefore a part of the load
as is the particular instrument.
[0028] In Figure 1, a signal modifier 12 connects to the sensing circuit 11 for enhancing
parameters of the signals collected and for transmitting those signals to a buffer
13 therein. The signal modifier 12 includes therein a gain scaling element 14 that
adjusts or attenuates the amplitude of the signal from the sensing circuit 11. A gain
scaling element control 15 sets the gain scaling element 14 and is responsive to signal
processing in a feedback loop 16 as will be explained in connection with the circuit
for monitoring and controlling parameters disclosed in Figure 1.
[0029] A MUX 17 or multiplexing unit that is capable of selecting one of several signals
to be measured; specifically, the more important signals are selected and transmitted
to the buffer 13. The relative priority of the signals parameter selected, i.e. monopolar
or bipolar voltage, current, or leakage current, is a function of the specific mode
chosen by the operator. As an example, the preferred embodiment measures the voltage
and current thirty two times before the leakage current is checked. The ratio of the
measurement is easily set as an input to the multiplexing unit 17.
[0030] The buffer 13 receives the selected and multiplexed signals from the multiplexing
unit 17 to condition those signal for use as input to the analog to digital converter
18. A sample clock 19 establishes the frequency of sampling and is connected to the
analogue to digital converter 18. The buffer 13 is an amplifier in parallel with a
resistance such that the signal level is compatible with the particular analog to
digital converter 18.
[0031] As an example, the high frequency output is in the range of 500 kilohertz and voltage
samples taken by the sensing circuit 11. The sensing circuit 11 provides instantaneous
values of current and voltage instantaneously from the secondary side of the ESU 10
output transformer. The average values, in digitized form, are supplied to a processor
20 which calculates the root mean square (RMS) of the wave pulse train of the high
frequency output. Under different mode settings, the gain scaling element 14 is consistent
with the mode selected and adjusts the consideration of the high frequency output
signal to the area on the wave pulse train of greatest interest.
[0032] The assignee of this application owns United States Patent 4,658,819 on RMS electrosurgical
unit 10 control. The sensing circuit 11 considers a wave pulse train with a frequency
of eight million data points per second and 256 samples are taken which in view of
the speed represents sixteen complete sine waves. This concerns how the measurements
of such high frequency wave pulse train are accomplished accurately. The RMS value
of

wherein voltage samples are taken 256 times during the sixteen complete sine wave
pulse train. The peak to peak voltage change or difference is approximately twice
the RMS voltage times a predefined crest factor. If the power output is assumed to
be constant and the power desired has been selected by the operator, then the RMS
values for voltage and current can be instantaneously calculated. Consequently, the
RMS power as measured from the sampling of the wave pulse train is:
. The load impedance as measured at the secondary side of the transformer by the sensing
circuit 11 is:

and that can be used to establish a control voltage for use in adjusting the output
of the electrosurgical unit 10. The processor 20 is programmed to receive the instantaneous
wave pulse train samplings and by calculation convert them into an equivalent control
voltage
(Econ) that adjusts the electrosurgical unit 10, that is to say that, the
Econ is a signal to operate the high voltage direct current HVDC of the electrosurgical
unit 10.
[0033] For example, when the
PRMS » PDESIRED, then
. Conversely,

when
PRMS « PDESIRED. If
Econ » Econ max then the programmed processor 20 makes

and conversely when
Econ « Econ min, the

. Similarly, when
ILkg-RMS » ILkg-max, then

. Should the sample signals saturate the analog to digital converter 18, then

. If load impedance
Z » open circuit, the

.
[0034] In Figure 3 a plot of the power (y axis) verses load impedance (x axis) is shown.
The control of the output power to be substantially constant is performed in segments
labelled A, B, C, D which are related to the situations discussed in the preceding
paragraph. That is to say that in Figure 3 the A segment of the power curve is up
to about 200 ohms of impedance and is essentially flat at about 50 watts; the power
set by the operator. The B segment is also constant at the prescribed power level
until leakage control is initiated because the difference in output and return current
is more than 150 milliamperes. Under that condition the curve shown for segment C
has the power reduced with increasing impedance. Finally segment D illustrates open
circuit conditions wherein the impedance is greater and the reduction in power faster.
[0035] Another way to relate the segments to the processor 20 control is segment A when
the the
PRMS » PDESIRED, then

and conversely,

when
PRMS « PDESIRED. Segment B when the
PRMS » PDESIRED, then

and conversely,

when
PRMS « PDESIRED is
Econ » Econ max so that the programmed processor 20 makes

and conversely when
Econ « Econ min, the

. Segment C is
ILkg-RMS » ILkg-max, so that

. Should the sample signals saturate the analog to digital converter 18, then

. When the load impedance
Z » Zopen circuit, the

for segment D.
[0036] The signal modifier 12 connects to an analog to digital converter 18 so that signals
from the buffer 13 in the signal modifier 12 may be converted from analog form into
digital form. The digitized signals are such that their existence or nonexistence
are provided to a data memory 21 for storing the signals defining the parameters of
operation in digitized form until they are used by a processor 20 connected thereto.
[0037] The processor 20 is capable of processing the signals while continually monitoring
and controlling the electrosurgical unit 10. Associated with the processor 20 which
is preferably an integrated circuit, e.g. Analog Devices ADSP 2105, there is an address
decoder 22 which receives the signals from the processor 20. The address decoder 22
enables various output registers by presenting the address thereof since the address
of any component in the system is known to the address decoder 22. A program memory
23 in the processor 20 provides instruction in accordance with the need to measure
the voltage, current, power, load impedance, leakage current, spectral content and/or
crest factor of the wave pulse train of the radio frequency energy as desired. A digital
signal processing data ram buffer 13 in the digital processor 20 first receives the
stored signals from the data memory 21 for use in the digital signal processing.
[0038] Shown also in Figure 1 are system controls identified as a host controller interface
24 which conveys information from a front panel 25, i.e. power, mode, etc. to the
processor 20. These enumerated blocks operate together enabling the user and providing
the following functions: (1) selection of desired power, (2) selection of mode, (3)
selection of control scheme.
[0039] It will be noted in Figure 1 that the resulting output from the circuit for monitoring
and controlling parameters is sent therefrom to a digital signal processing bus 26
which is disclosed in Figure 2 wherein the digital signal processing bus 26 includes
an RF drive clock 27, a blend control 28 and a pulse width control 29 to receive the
signals from the circuit for monitoring, operating parameters and controlling those
parameters of Figure 1. The RF drive clock 27, the blend control 28, and the pulse
width control 29 each modify time and construct the signals received by the digital
signal processor bus 26 so that those may be fed into a radio frequency drive 30 for
the electrosurgical unit 10 generator. The RF drive clock 27 determines the basic
RF output frequency. The blend control 28 alternately passes and blocks groups of
pulses for blend and coagulation operating modes. The pulse width control 29 limits
the width of individual RF drive pulses for controlling the radio frequency output
signal, by means other than by controlling the high voltage power supply or the gain
of the radio frequency amplifier.
[0040] The digital signal processing bus 26 also receives a signal from the electrosurgical
unit 10 which indicates the radio frequency output stage of the electrosurgical unit
10 RF current limit 31 is nearing its safe operating limit. The current limit 31 as
set by the manufacturer of the unit, i.e. for the Valleylab Force 40 the current limit
31 varies by mode power etc. If that condition occurs, the drive of the electrosurgical
unit 10 (econ or pulse width) is reduced until the hardware limit ceases. This is
done either by reducing the control voltage (econ) to the HVDC or by pulse width change
to the RF drive clock 27.
[0041] The signal from the digital signal processor bus 26 is also supplied to a DC supply
control 32 which uses that signal to regulate the high voltage direct current (HVDC)
power supply in the electrosurgical unit 10. Econ is an analog control voltage applied
to an input of the electrosurgical unit 10 power supply. The output voltage of the
power supply is proportional to econ; for example, if econ is approximately 5 volts
then output voltage is approximately 200 volts and when econ is approximately 1 volt
then output voltage is approximately 40 volts. In addition, the processor 20 signal
as modified by the RF current limit 31 sensor is used as a radio frequency current
limit 31 control input which is capable of providing a current control for the electrosurgical
unit 10 as already explained.
[0042] The analog to digital converter 18 is of the flash type and thus capable of sampling
wave pulse train at about eight million samples per second. An analog to digital converter
of this type may be obtained from Motorola part number MC10319. Consequently, the
wave pulse train is sampled periodically and several times during, for example, a
cycle or some cycles. Phase shifting can be used as explained to enable the application
of less costly components with the same high frequency response. That is to say that,
the high frequency resolution is doubled without the expense of more costly components.
[0043] The electrosurgical unit 10 has a high voltage power supply therein which is manipulated
by the feedback loop 16. The feedback loop 16 is connected to the electrosurgical
unit 10 so that radio frequency drive 30 pulses of a main control circuit of the electrosurgical
unit 10 can be regulated. The feedback loop 16 is accordingly capable of regulating
the electrosurgical unit 10 by either adjusting the RF output by control of the electrosurgical
unit 10 high voltage power supply, by control of the RF drive pulses, or by a combination
of both. The output performance parameters of the electrosurgical unit 10 include
constant current, constant voltage, or power and those may be calculated as a root
mean square value, may be monitored and/or may be regulated through input of those
signals into the processor 20. The output parameters of the electrosurgical unit 10
may, after calculation, be used for controlling the performance parameters of the
electrosurgical unit 10. Those performance parameters include for example, peak-to-peak
voltage, peak-to-peak current, and leakage current. Each of those performance parameters
are useful independently or in combination as a control signal in the feedback loop
16 to the electrosurgical unit 10.
[0044] The signals applied to the analog to digital signal conversion can be sampled at
8 megahertz. Consequently, for each pulse of the electrosurgical unit 10 radio frequency
drive 30, the processor 20 is capable of sampling the output of the electrosurgical
unit 10 sixteen times. The signal resolution is the same as if sampled at 16 MHz since
the acquisition of data at the rising edge and falling edge of each square wave pulse
of the sample clock is consequently permitted at that greater frequency. The analog
to digital conversion allows the output of the electrosurgical unit 10 to be monitored
and controlled over a broad spectral input to the electrosurgical unit 10 at a speed
rapid enough to correct the input in accordance with the measured load and without
undue delay.
1. A circuit for monitoring operating parameters of an electrosurgical unit (10) with
an output transformer having primary and secondary windings and for controlling in
real time those parameters relative to a load placed upon the radio frequency energy
supplied by the electrosurgical unit (10), comprising:
a sensing circuit (11) connected to receive radio frequency energy supplied by the
output of the electrosurgical unit (10) and responsive to loads applied across the
radio frequency energy supplied, the sensing circuit connected for providing instantaneous
values of current and voltage from the secondary windings so the sensing circuit (11)
collects parameters indicative of the operation of the electrosurgical unit (10) under
load;
a signal modifier (12) connected to the sensing circuit (11), the signal modifier
having enhancement means to adjust or attenuate the amplitude of the parameters from
the sensing circuit in response to signal processing and feedback;
a buffer connected to the signal modifier for receiving the enhanced parameters collected
to set the level thereof;
a flash type analog to digital converter (18) connected to the buffer for receiving
signals therefrom and converting the analog form of those signals into digital form
multiple times during a cycle;
a data memory (21) connected to the analog to digital converter for storing the converted
signals in their digitized form, and
a processor (20) connected to the data memory so as to receive the stored signals
from the data memory (21), the processor (20) capable of processing the signals while
continually monitoring the electrosurgical unit (10) by measurement of the voltage,
current, power, load impedance, leakage current, spectral content and/or crest factor
of the wave pulse train of the radio frequency energy and then controlling the electrosurgical
unit (10) to achieve a predefined voltage, current, power, load impedance, leakage
current, spectral content and/or crest factor of the wave pulse train of the radio
frequency energy in accord with a mode setting and an algorithm in the processor (20).
2. The circuit for monitoring and for controlling of Claim 1 wherein the flash type analog
to digital converter (18) is of the flash type capable of sampling wave pulse train
at about eight million samples per second.
3. The circuit of Claim 2 wherein a RF drive clock (27) in the circuit for monitoring
operating parameters of an electrosurgical unit is synchronized with the electrosurgical
unit (10) output and a sample clock (19) in the circuit for monitoring operating parameters
of an electrosurgical unit is used to set the timing for interrogating the stored
signals from the data memory as input to the processor (20) so the number of samples
taken times the sample frequency is an integral number of RF cycle times.
4. The circuit of Claim 1 wherein controlling is performed with a feedback loop 16 connecting
the processor (20) to the electrosurgical unit (10) adjusting the RF output by control
of the electrosurgical unit high voltage power supply.
5. The circuit of Claim 1 wherein controlling is performed with a feedback loop (16)
connecting the processor (20) to the electrosurgical unit (10) and the feedback loop
regulates the electrosurgical unit by control of the RF drive pulses.
6. The circuit of Claim 1 wherein controlling is performed with a feedback loop 16 connecting
the processor (20) to the electrosurgical unit (10) adjusting the RF output by control
of the electrosurgical unit high voltage power supply and the feedback loop regulates
the electrosurgical unit by control of the RF drive pulses.
7. The circuit of Claim 1 wherein an input of the processor (20) monitors, calculates
and regulates output performance parameters including the constant current, constant
voltage or power as a root mean square value and regulated.
8. The circuit of Claim 6 wherein the processor (20) controls performance parameters
including peak to peak voltage, peak to peak current, and leakage current and considers
each as the control signal for the feedback loop (16) of the electrosurgical unit
(10).
9. The circuit of Claim 3 wherein a radio frequency drive (30) in the electrosurgical
unit (10) sets 16 pulses so the processor (20) samples output of the electrosurgical
unit (10) sixteen times and a sample clock defines a square wave pulse with a rising
edge and a falling edge thereby generating 256 data points in substantially adjacent
cycles at the rising edge and another 256 at the falling edge of each square pulse
of the sample clock.
10. The circuit of Claim 9 wherein the stored signals from the data memory received by
the processor (20) and split into two sets of 256 each by indicating with a phase
shifted sample clock for receiving the converted signals in the form of square wave
pulse train from the analog to digital converter (18) and the processor reads the
square wave pulse train at 8 megahertz first the rising edge and then subsequently
the falling edge of each square wave pulse of the sample clock.
11. The circuit of Claim 1 wherein the processor enhances the resolution of the converted
signals and a phase shifting sample clock (19) permits signal handling at a frequency
greater than the processor (20) could handle converted signals without the phase shifting
sample clock (19) so that the instantaneous values of current and voltage of the electrosurgical
unit (10) can be monitored and controlled over a broad spectral input to the electrosurgical
unit (10) to correct the transformer output in real time in accord with measured load.
12. The circuit of any one of the preceding claims further comprising:
a RF clock connected to receive radio frequency energy supplied by the electrosurgical
unit (10) output, a phase shift sample clock (19) is used with phase shifting to set
the timing of the interrogation of the input signals to the processor (20) at a greater
sampling rate of frequency than without phase shifting;
the phase shifting sample clock (19) being provided for permitting measurement handling
at a frequency greater than the processor (20) could without the phase shifting sample
clock (19) so that the instantaneous values of current and voltage of the electrosurgical
unit (10) can be monitored and controlled over a broad spectral input to the electrosurgical
unit (10) to correct in real time the output in accordance with measured load; and
a feedback loop (16) connected to the electrosurgical unit (10) so a high voltage
power supply therein may be manipulated and so the radio frequency drive (30) pulses
of a main control circuit of the electrosurgical unit (10) may be regulated and wherein
the transformer output performance parameters including the constant current, constant
voltage or power may be calculated as a root mean square value, monitored and/or regulated
through an input of the processor (20); wherein the analog to digital converter (18)
is of the flash type capable of sampling wave pulse train at millions of samples per
second.
13. The circuit of Claim 12 wherein the stored signals from the data memory received by
the processor and split into two sets of 256 each with the phase shifted sample clock
(19) for receiving the converted signals in the form of square wave pulse train from
the analog to digital converter (18) and the processor reads the square wave pulse
train at 8 megahertz at a rising edge and a falling edge of each square wave pulse
of the sample clock in adjacent cycles.
14. The circuit of Claim 12 wherein for each 16 pulses of the electrosurgical unit (10)
radio frequency drive (30) the processor (20) samples the output of the electrosurgical
unit (10) sixteen times thereby generating 256 points read at a rising edge and then
another 256 at the falling edge of each square wave pulse of the sample clock in substantially
adjacent cycles.
15. A method for monitoring operating parameters of an electrosurgical unit (10) and for
controlling those parameters relative to a load placed upon the radio frequency energy
supplied by the electrosurgical unit (10), having the steps comprising:
collecting parameters indicative of the operation of the electrosurgical unit (10)
under load with a sensing circuit (11) connected to receive radio frequency energy
supplied by the output of the electrosurgical unit (10) and responsive to loads applied
thereacross;
enhancing parameters of the signals collected with a signal modifier (12) connected
to the sensing circuit (11);
converting the analog form of the signals into digital form with a flash type analog
to digital converter (18) connected for receiving signals from the signal modifier
(12);
storing the signals in digitized form in a data memory (21) for transmission therefrom
to a processor;
receiving the stored signals from the data memory (21) in the processor (20), and
processing the signals while continually monitoring and controlling the electrosurgical
unit (10) by measurement of the voltage, current, power, load impedance, leakage current,
spectral content and/or crest factor of the wave pulse train of the radio frequency
energy with the processor (20).
16. The method for monitoring operating parameters of Claim 15 wherein the step of processing
the signals while continually monitoring and controlling the electrosurgical unit
(10) includes shifting the timing for obtaining signals for adjacent cycles.
17. The circuit of any one of Claims 1 to 14 further comprising:
a sample clock (19) connected to the processor (20) for setting the timing for receiving
the digitized signals from the processor (20) and for the signal resolution enhancement
with phase shifting for handling measurements at a frequency greater than the processor
(20) could handle without the phase shifting, the sample clock (19) timing the monitoring
of output of the electrosurgical unit (10) rapidly enough to correct output in real
time and in accord with measured load.
1. Schaltung zur Überwachung von Betriebsparametern eines elektrochirurgischen Geräts
(10),das einen Ausgangstransformator mit Primär- und Sekundärwicklungen aufweist,
und zur Kontrolle jener Partameter in Echtzeit im Zusammenhang mit einer Last, die
der vom elektrochirurgischen Gerät (10) gelieferten Radiofrequenzenergie auferlegt
wird, umfassend:
eine Abtastschaltung (11), die angeschlossen ist um Radiofrequenzenergie zu empfangen,
die ab dem Ausgang des elektrochirurgischen Geräts (10) geliefert wird, und die auf
Lasten anspricht, die über die ganze zugeführte Radiofrequenzenergie angewandt werden;
die Abtastschaltung ist angeschlossen, um sofortige Strom- und Spannungswerte ab den
Sekundärwicklungen bereitzustellen, daher sammelt die Abtastschaltung (11) Parameter,
die auf den Betrieb des elektrochirurgischen Geräts (10) unter Last schließen lassen;
einen an die Abtastschaltung (11) angeschlossenen Signalmodifikator(12), wobei der
Signalmodifikator Mittel zur Einstellung oder Abschwächung der Amplitude der Parameter
ab der Abtastschaltung als Reaktion auf Signalverarbeitung und Feedback aufweist;
einen Puffer, der an den Signalmodifikator angeschlossen ist, um die verbesserten
Parameter zu empfangen, die gesammelt wurden, um deren Pegel einzustellen;
einen Analog-Digital-Wandler (18) des Flashtyps, der an den Puffer angeschlossen ist,
um von dort Signale zu empfangen und die analoge Form jener Signale viele Male während
eines Zyklus in digitale Form umzuwandeln;
einen Datenspeicher (21), der an den Analog-Digital-Wandler angeschlossen ist, um
die umgewandelten Signale in ihrer digitalisierten Form zu speichern und
einen Prozessor (20), der an den Datenspeicher angeschlossen ist, um die gespeicherten
Signale ab dem Datenspeicher (21) zu empfangen; der Prozessor (20) ist in der Lage
die Signale zu verarbeiten, während er das elekrochirurgische Gerät (10) ständig durch
Messen von Spannung, Strom, Leistung, Lastimpedanz, Kriechstrom, Spektralinhalt und/oder
Spitzenfaktor der Wellenimpulsfolge der Radiofrequenzenergie überwacht und dann das
elektrochirurgische Gerät (1o) steuert, um eine(n) vorgegebene(n) Spannung, Strom,
Leistung, Lastimpedanz, Kriechstrom, Spektralinhalt und/oder Spitzenfaktor der Wellenimpulsfolge
der Radiofrequenzenergie in Übereinstimmung mit einer Modeneinstellung und einem Algorithmus
im Prozessor (20) zu erzielen.
2. Die Schaltung des Anspruchs 1 zum Überwachen und zum Steuern, worin der Analog-Digital-Wandler
(18) des Flashtyps ist, und fähig ist Wellenimpulsfolge mit ca. acht Millionen Abtastungen
pro Sekunde abzutasten.
3. Die Schaltung des Anspruchs 2, worin ein RF-Antriebstaktgeber (27) in der Schaltung
zum Überwachen von Betriebsparametern eines elektrochirurgischen Geräts mit dem Ausgang
des elektrochirurgischen Geräts (10)synchronisiert ist und ein Abtasttaktgeber (19)
in der Schaltung zum Überwachen eines elektrochirurgischen Geräts dafür verwendet
wird die zeitliche Abstimmung für das Abfragen der gespeicherten Signale aus dem Datenspeicher
als Eingabe zum Prozessor (20) einzustellen, so daß die Anzahl der vorgenommenen Abtastungen
multipliziert mit der Abtastrate eine integrale Zahl von RF-Zykluszeiten ist.
4. Die Schaltung des Anspruchs 1, worin Steuern mit einer Rückkopplungsschleife (16)
vorgenommen wird, die den Prozessor (20) mit dem elektrochirurgischen Gerät (10) verbindet
und den RF-Ausgang durch Steuerung der Hochspannungsstromversorgung des elektrochirurgischen
Geräts einstellt.
5. Die Schaltung des Anspruchs 1, worin Steuern mit einer Rückkopplungsschleife (16)
vorgenommen wird, die den Prozessor (20) mit dem elektrochirurgischen Gerät (10) verbindet
vorgenommen wird, und die Rückkopplungsschleife das elektrochirurgische Gerät durch
Steuerung der RF-Antriebsimpulse regelt.
6. Die Schaltung des Anspruchs 1, worin Steuern mit einer Rückkopplungsschleife (16)
vorgenommen wird, die den Prozessor (20)mit dem elektrochirurgischen Gerät (10)verbindet
und den RF-Ausgang durch Steuern der Hochspannungsstromversorgung einstellt und die
Rückkopplungsschleife das elektrochirurgische Gerät durch Steuern der RF-Antriebsimpulse
regelt.
7. Die Schaltung des Anspruchs 1, worin ein Eingang des Prozessors (20) Ausgangsleistungsparameter,
einschließlich des konstanten Stroms, der konstanten Spannung oder Leistung - als
Effektivwert und reguliert - überwacht berechnet und regelt.
8. Die Schaltung des Anspruchs 6, worin der Prozessor (20) Leistungsparameter, einschließlich
Spitze-Spitze-Spannung, Spitze-Spitze-Strom und Kriechstrom steuert und jeden als
das Steuersignal für die Rückkopplungsschleife (16) des elektrochirurgischen Geräts
(10) betrachtet.
9. Die Schaltung des Anspruchs 3, worin ein Radiofrequenzantrieb (30) im elektrochirurgischen
Gerät (10) 16 Impulse einstellt, so daß der Prozessor (20) Leistung des elektrochirurgischen
Geräts (10) sechzehnmal abtastet und ein Abtasttaktgeber einen Rechteckwellenimpuls
mit einer Anstiegflanke und einer Abfallflanke definiert und dadurch 256 Datenpunkte
in im wesentlichen benachbarten Zyklen an der Anstiegflanke und weitere 256 an der
Abfallflanke jedes Rechteckimpulses des Abtasttaktgebers generiert.
10. Die Schaltung des Anspruchs 9, worin die gespeicherten Signale ab dem Datenspeicher
vom Prozessor (20) empfangen und durch Anzeigen mit einem phasenverschobenen Abtasttaktgeber
zum Empfangen der umgewandten Signale in Form einer Rechteckwellenimpulsfolge ab dem
Analog-Digital-Wandler (18) in je zwei Sätze von 256 gespalten werden und der Prozessor
die Rechteckwellenimpulsfolge mit 8 Megahertz, zuerst die Anstiegflanke und anschließend
die Abfallflanke jedes Rechteckwellenimpulses des Abtasttaktgebers, ließt.
11. Die Schaltung des Anspruchs 1, worin der Prozessor die Auflösung der umgewandten Signale
verbessert und ein phasenver-schiebender Abtasttaktgeber (19) Signalhandling mit einer
größeren Frequenz zuläßt als der Prozessor (20) ohne phasenverschiebenden Abtasttaktgeber
(19) in der Lage wäre umgewandelte Signale handzuhaben, so daß die Augenblickswerte
von Strom und Spannung des elektrochirurgischen Geräts (10) über einen breiten Spektraleingang
zum elektrochirurgischen Gerät(10) überwacht und gesteuert werden können, um den Transformatorausgang
in Echtzeit im Einklang mit gemessener Last zu korrigieren.
12. Die Schaltung eines der vorhergehenden Ansprüche weiter umfassend:
einen RF-Taktgeber um Radiofrequenzenergie zu empfangen, die vom Ausgang des elektrochirurgischen
Geräts (10) geliefert wird, ein phasenverschiebender Abtasttaktgeber (19) wird mit
Phasenverschiebung verwendet, um die zeitliche Abstimmung der Abfrage der Eingangssignale
zum Prozessor (20) mit einer größeren Abtastrate der Frequenz als ohne Phasenverschiebung
einzustellen;
den phasenverschiebenden Abtasttaktgeber (19), der bereitgestellt wird, um Meßhandling
mit einer Frequenz zu gestatten, die größer ist als der Prozessor (20) ohne den phasenverschiebenden
Abtasttaktgeber (19) handhaben könnte, so daß die Augenblickswerte von Strom und Spannung
des elektrochirur-gischen Geräts (10) über einen breiten Spektraleingang zum elektrochirurgischen
Gerät(10) überwacht und gesteuert werden können, um die Leistung in Echtzeit im Einklang
mit gemessener Last zu korrigieren; und
eine Rückkopplungsschleife (16), die an das elektro-chirurgische Gerät (10) angeschlossen
ist, so daß eine Hochspan-nungsstromversorgung darin manipuliert werden kann, und
so die Radiofrequenzimpuls-Antriebimpulse (30) eines Hauptsteuerkreises des elektrochirurgischen
Geräts (10) geregelt werden können und worin die Transformatorausgangsleistung, einschließlich
des konstanten Stroms , der konstanten Spannung oder Leistung als ein Effektivwert,
überwacht und/oder reguliert durch einen Eingang des Prozessors (20) berechnet werden
können; worin der Analog-Digital-Wandler (18) des Flashtyps ist, der fähig ist Wellenimpulsfolge
mit Millionen Abtastungen pro Sekunde abzutasten.
13. Die Schaltung des Anspruchs 12, worin die gespeicherten Signale ab dem Datenspeicher,
die vom Prozessor empfangen werden und mit dem phasenverschobenen Abtasttaktgeber
(19)zum Empfangen der umgewandelten Signale in Form einer Rechteckwellenimpulsfolge
ab dem Analog-Digital-Wandler (18) in je zwei Sätze von 256 gespalten werden und der
Prozessor die Rechteckwellenimpulsfolge mit 8 Megahertz an einer Anstiegflanke und
einer Abfallflanke jedes Rechteckwellenimpulses des Abtasttaktgebers in Nachbarzyklen
ließt.
14. Die Schaltung des Anspruchs 12, worin für je 16 Impulse des Radiofrequenzantriebs
(30) des elektrochirurgischen Geräts (10)der Prozessor (20) den Ausgang des elektrochirurgischen
Geräts (10) sechzehnmal abtastet und dadurch eine Ablesung von 256 Punkten an der
Anstiegsflanke und dann weitere 256 an der Abfallflanke für jeden Rechteckwellenimpuls
des Abtasttaktgebers in im wesentlichen benachbarten Zyklen generiert.
15. Methode für das Überwachen von Betriebsparametern eines elektrochirurgischen Geräts
(10) und für das Steuern jener Parameter in Bezug auf eine Last, die der, vom elektrochirurgischen
Gerät gelieferten, Radiofrequenzenergie auferlegt wird, die folgende Schritte umfaßt:
Sammeln von Parametern, die auf den Betrieb des elektrochirurgischen Geräts (10) unter
Last schließen lassen, mit einer Abstastschaltung (11), die angeschlossen ist Radiofrequenzenergie
zu empfangen, die vom Ausgang des elektrochirurgischen Geräts (10) geliefert wird
und die auf darüber aufgetragene Lasten anspricht;
Verbessern der Parameter der Signale, die mit einem Signalmodifikator (12) gesammelt
werden, der an die Abtastschaltung (11) angeschlossen ist);
Umwandeln der Analogform der Signale in Digitalform mit einem Analog-Digital-Wandler
(18), der angeschlossen ist, um Signale ab dem Signalmodifikator (12) zu empfangen;
Speichern der Signale in digitalisierter Form in einem Datenspeicher (21) zur Übertragung
von dort an einen Prozessor;
Empfangen der gespeicherten Signale aus dem Datenspeicher (21) in den Prozessor (20),
und
Verarbeiten der Signale während kontinuierlicher Überwachung und Steuerung des elektrochirurgischen
Geräts (10) durch Messen von Spannung, Strom, Leistung, Lastimpedanz, Kriechstrom,
Spektralinhalt und/oder Spitzenfaktor der Wellenimpulsfolge der Radiofrequenzenergie
mit dem Prozessor (20).
16. Methode zur Überwachung von Betriebsparametern des Anspruchs 15, worin der Schritt
des Verarbeitens der Signale während kontinuierlicher Überwachung und Steuerung des
elektrochirurgischen Geräts (10) das Verschieben der zeitlichen Abstimmung zum Erhalt
von Signalen für Nachbarzyklen einbezieht.
17. Schaltung nach einem der Ansprüche 1 bis 14 weiter umfassend:
einen Abtasttaktgeber (19), angeschlossen an den Prozessor (20) zum Einstellung der
zeitlichen Abstimmung für den Empfang der digitalisierten Signale ab dem Prozessor
(20)und zur Verbesserung der Signalverstärkung mit Phasenverschiebung zum Handling
von Messungen mit einer Frequenz, die größer ist als der Prozessor (20)ohne die Phasenverschiebung
handhaben könnte, den Abtasttaktgeber (19), der die Überwachung der Ausgangsleistung
des elektrochirurgischen Geräts (10) zeitlich ausreichend schnell steuert, um Ausgangsleistung
in Echtzeit und in Übereinstimmung mit gemessener Last zu korrigieren.
1. Un circuit pour contrôler les paramètres de fonctionnement d'un appareil électrochirurgical
(10) comprenant un transformateur de sortie comportant des bobinages primaires et
secondaires et pour contrôler en temps réel les paramètres relatifs à la charge appliquée
à une énergie radiofréquence fournie par l'appareil électrochirurgical (10), le circuit
comprenant:
un circuit de détection (11) monté pour recevoir l'énergie radiofréquence fournie
par la sortie de l'appareil électrochirurgical (10) et pour réagir aux charges appliquées
à l'énergie radiofréquence fournie, le circuit de détection étant raccordé pour fournir
les intensités instantanées du courant et du voltage des bobinages secondaires, en
sorte que le circuit de détection (11) recueille les paramètres de fonctionnement
de l'appareil électrochirurgical (10) lorsque ce dernier est en mode de fonctionnement
sous charge;
un modificateur de signaux (12) raccordé au circuit de détection (11), le modificateur
de signaux comportant un dispositif d'amélioration permettant d'ajuster ou d'atténuer
l'amplitude des paramètres captés par le circuit de détection, suite à un traitement
et à une rétroaction des signaux;
un tampon raccordé au modificateur de signal et destiné à recevoir les paramètres
améliorés recueillis afin d'en établir le niveau;
un convertisseur analogique-numérique de type numérisateur parallèle (18) raccordé
au tampon et recevant des signaux émis par le tampon afin de convertir la forme analogue
de ces signaux en une forme numérique à de nombreuses reprises lors d'un cycle;
une mémoire de données (21) raccordée au convertisseur analogique-numérique et destinée
à stocker les signaux convertis sous leur forme numérique, et
un processeur (20) raccordé à la mémoire de données et recevant les signaux stockés
depuis la mémoire de données (21), le processeur (20) étant capable de traiter les
signaux tout en contrôlant l'appareil électrochirurgical (10) en continu en mesurant
le voltage, le courant, la puissance, l'impédance de charge, le courant de fuite,
le contenu spectral et/ou le facteur de crête du train d'impulsions d'ondes de l'énergie
radiofréquence, et en régulant ensuite l'appareil électrochirurgical (10) afin d'obtenir
un voltage, un courant, une puissance, une impédance de charge, un courant de fuite,
un contenu spectral et/ou un facteur de crête prédéterminés du train d'impulsions
d'ondes de l'énergie radiofréquence, conformément à un réglage de mode et à un algorithme
du processeur (20).
2. Le circuit de contrôle ainsi revendiqué à la revendication 1, dans lequel le numérisateur
parallèle (18) est un numérisateur parallèle conçu pour échantillonner un train d'impulsions
d'ondes à raison de huit millions d'échantillons par seconde environ.
3. Le circuit de la revendication 2 dans lequel une horloge de commande RF (27) servant
à contrôler les paramètres de fonctionnement de l'unité électrochirurgicale est synchronisée
avec la sortie de l'unité électrochirurgicale (10) et dans lequel on utilise une horloge
d'échantillonnage (19) montée dans le circuit de contrôle des paramètres de fonctionnement
de l'appareil électrochirurgical (10), cette horloge (19) servant à régler les horaires
d'interrogation des signaux stockés dans la mémoire de donnée, signaux servant d'input
au processeur (20), en sorte que le nombre d'échantillons pris pendant la fréquence
d'échantillonage est un nombre intégral de cycles RF.
4. Le circuit ainsi revendiqué à la revendication 1 dans lequel la régulation est effectuée
par une boucle de rétroaction (16) raccordant le processeur (20) à l'appareil électrochirurgical
(10) et réglant la sortie RF grâce au contrôle de la source d'alimentation électrique
à haut voltage de l'appareil électrochirurgical.
5. Le circuit ainsi revendiqué à la revendication 1 dans lequel la régulation est effectuée
par une boucle de rétroaction (16) raccordant le processeur (20) à l'appareil électrochirurgical
(10) et régulant l'appareil électrochirurgical grâce au contrôle des impulsions émanant
de l'unité de commande RF.
6. Le circuit ainsi revendiqué à la revendication 1 dans lequel la régulation est effectuée
par une boucle de rétroaction (16) raccordant le processeur (20) à l'appareil électrochirurgical
(10) et régulant l'output RF grâce au contrôle de la source d'alimentation électrique
à haut voltage de l'appareil électrochirurgical et dans lequel la boucle de rétroaction
régule l'appareil électrochirurgical grâce au contrôle des impulsions de l'unité de
commande RF.
7. Le circuit ainsi revendiqué à la revendication 1 dans lequel un input du processeur
(20) calcule, contrôle et régule les paramètres de l'output, y compris le courant
constant, le voltage et/ou la puissance constante, en sorte que ces paramètres sont
sous la forme d'une valeur quadratique moyenne régulée.
8. Le circuit ainsi revendiqué à la revendication 6, dans lequel le processeur (20) régule
les paramètres tels que le voltage crête à crête, le courant crête à crête et le courant
de fuite, et considère chacun de ces paramètres comme le signal de commande de la
boucle de rétroaction (16) de l'appareil électrochirurgical (10).
9. Le circuit ainsi revendiqué à la revendication 3, dans lequel une unité de commande
RF (30) de l'appareil électrochirurgical (10) génère 16 impulsions en sorte que le
processeur (20) échantillonne l'output de l'appareil électrochirurgical (10) 16 fois,
et dans lequel une horloge d'échantillonnage définit une impulsion d'ondes carrée
comportant une arête croissante et une arête décroissante, génèrant ainsi 256 points
de donnée selon des cycles adjacents au niveau de l'arête croissante et 256 points
de donnée au niveau de l'arête décroissante de chaque impulsion carrée de l'horloge
d'échantillonnage.
10. Le circuit ainsi revendiqué à la revendication 9 dans lequel les signaux de la mémoire
de données sont reçus par le processeur (20) et décomposés en deux séries de 256 points
chacune par une horloge d'échantillonnage en déphasage recevant les signaux convertis
sous la forme d'un train d'impulsions d'ondes carrées émanant du convertisseur analogique-numérique
(18) et dans lequel le processeur lit le train d'impulsions d'ondes carrées à une
fréquence de 8 MHz, le processeur lisant d'abord l'arête croissante et ensuite l'arête
décroissante de chaque impulsion carrée émanant de l'horloge d'échantillonnage.
11. Le circuit ainsi revendiqué à la revendication 1, dans lequel le processeur améliore
la résolution des signaux convertis et dans lequel une horloge d'échantillonnage en
déphasage (19) permet de traiter les signaux à une fréquence supérieure à la fréquence
du processeur (20) privé d'horloge d'échantillonnage en déphasage (19), en sorte qu'il
est possible de contrôler et de réguler les valeurs instantanées du courant et du
voltage de l'appareil électrochirurgical (10) pour un large spectre d'inputs fournis
à l'appareil électrochirurgical (10), afin de corriger l'output du transformateur
en temps réel et en fonction de la charge mesurée.
12. Le circuit ainsi revendiqué à l'une quelconque des revendications précédentes comprenant
en outre:
une horloge RF raccordée pour pouvoir recevoir l'énergie RF fournie par l'ouput de
l'appareil électrochirurgical (10), une horloge d'échantillonnage en déphasage (19)
permettant de régler en déphasage l'horaire d'interrogation des signaux d'input transmis
au processeur (20) selon une fréquence d'échantillonnage supérieure à la fréquence
obtenue sans déphasage;
l'horloge d'échantillonnage en déphasage (19) permettant de traiter les mesures selon
une fréquence supérieure à la fréquence du processeur (20) privé de l'horloge d'échantillonnage
en déphasage (19), en sorte qu'il est possible de contrôler et de réguler les valeurs
instantanées du courant et du voltage de l'appareil électrochirurgical (10) pour un
large spectre d'inputs fournis à l'appareil électrochirurgical (10), afin de corriger
l'output du transformateur en temps réel et en fonction de la charge mesurée; et
une boucle de rétroaction (16) raccordée à l'appareil électrochirurgical (10) en sorte
que l'on peut réguler une alimentation électrique à haut voltage et que l'on peut
réguler les impulsions produites par une unité de commande RF (30) et présentes dans
un circuit principal de régulation de l'appareil électrochirurgical (10), et que l'on
peut calculer les paramètres de performance de sortie du transformateur (y compris
le courant constant, le voltage constant et la puissance constante) sous la forme
d'une valeur quadratique moyenne contrôlée et/ou régulée grâce à un input du processeur
(20), le convertisseur analogique-numérique (18) étant un numérisateur parallèle capable
d'échantillonner un train d'impulsions d'ondes à une vitesse de plusieurs millions
d'échantillons par seconde.
13. Le circuit ainsi revendiqué à la revendication 12 dans lequel les signaux stockés
dans la mémoire de données et transmis au processeur sont décomposés en deux séries
de 256 points chacune, l'horloge d'échantillonnage en déphasage (19) recevant les
signaux convertis par le convertisseur analogue-numérique (18) sous la forme d'un
train d'impulsions d'ondes carrées, et dans lequel le processeur lit le train d'impulsions
d'ondes carrées à une fréquence de 8 MHz au niveau de l'arête croissante puis de l'arête
décroissante de chaque impulsion d'ondes carrée de l'horloge d'échantillonnage et
selon des cycles adjacents.
14. Le circuit ainsi revendiqué à la revendication 12 dans lequel pour chaque série de
16 impulsions émanant de l'unité de commande RF (30) de l'appareil électrochirurgical
(10), le processeur (20) échantillonne l'output de l'appareil électrochirurgical (10)
16 fois, générant ainsi 256 points qui sont lus sur une arête croissante puis 256
points qui sont lus sur une arête décroissante de chaque impulsion carrée de l'horloge
d'échantillonnage selon des cycles adjacents.
15. Une méthode pour contrôler les paramètres de fonctionnement d'un appareil électrochirurgical
(10) et pour réguler ces paramètres relatifs à une charge appliquée à l'énergie radiofréquence
fournie par l'appareil électrochirurgical (10), comprenant les étapes suivantes:
collecte des paramètres relatifs au fonctionnement de l'appareil électrochirurgical
(10) en mode de fonctionnement sous charge par un circuit de détection (11) raccordé
pour recevoir l'énergie RF fournie par l'output de l'appareil électrochirurgical (10)
et pour réagir aux charges appliquées à cet endroit;
amélioration des paramètres des signaux recueillis par un modificateur de signaux
(12) raccordé au circuit de détection (11);
conversion de la forme analogique des signaux en une forme numérique par un convertisseur
analogique-numérique de type numérisateur parallèle (18) raccordé pour recevoir les
signaux provenant du modificateur de signaux (12);
stockage des signaux sous une forme numérique dans une mémoire de données (21) permettant
de transmettre les signaux à un processeur;
réception par le processeur (20) des signaux stockés dans la mémoire de données (21),
et
traitement des signaux et contrôle et régulation en continu de l'appareil électrochirurgical
(10) par le processeur (20) par mesure du voltage, du courant, de la puissance, de
l'impédance de charge, du courant de fuite, du contenu spectral et/ou du facteur de
crête du train d'impulsions d'ondes de l'énergie RF.
16. La méthode de contrôle des paramètres ainsi revendiquée à la revendication 15, dans
laquelle la fonction de traitement des signaux, qui est simultanée à la fonction de
contrôle et de régulation en continu de le l'appareil électrochirurgical (10), comprend
un déphasage des horaires pour produire des signaux formant des cycles adjacents.
17. Le circuit ainsi revendiqué à l'une quelconque des revendications 1 à 14 comprenant
en outre:
une horloge d'échantillonnage (19) raccordée au processeur (20) servant à régler les
horaires de réception des signaux numérisés depuis le processeur (20) et à améliorer
la résolution des signaux par déphasage afin de permettre le traitement des signaux
à une fréquence supérieure à celle du processeur (20) privé du déphaseur, l'horloge
d'échantillonnage (19) réglant le contrôle de l'output de l'appareil électrochirurgical
(10) avec une rapidité telle qu'il est possible de corriger l'output en temps réel
en fonction de la charge mesurée.